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How To Improve Patient Selection in Individuals With Lower Extremity Amputation Using a Bone-anchored Prosthesis.
Clin Orthop Relat Res
January 2025
Department of Rehabilitation, Radboud University Medical Center, Nijmegen, the Netherlands.
Background: Many patients with a lower limb socket-suspended prothesis experience socket-related problems, such as pain, chronic skin conditions, and mechanical problems, and as a result, health-related quality of life (HRQoL) is often negatively affected. A bone-anchored prosthesis can overcome these problems and improve HRQoL, but these prostheses have potential downsides as well. A valid and reliable tool to assess potential candidates for surgery concerning a favorable risk-benefit ratio between potential complications related to bone-anchored prostheses and improvements in HRQoL is not available yet.
View Article and Find Full Text PDFGas gangrene with Clostridium septicum in a neutropenic patient.
Infection
October 2024
Department of Plastic Surgery and Hand Surgery, Cantonal Hospital Aarau, Aarau, Switzerland.
Article Synopsis
- Gas gangrene is a serious infection caused by Clostridium bacteria, often resulting in rapid tissue death and requiring quick, multidisciplinary medical intervention.
- The case describes a 62-year-old woman with neutropenic fever from chemotherapy for breast cancer, who initially showed signs of cellulitis but deteriorated into septic shock despite antibiotic treatment.
- After extensive surgical intervention and adjustment of her antibiotics, the patient stabilized and was eventually discharged for rehabilitation, underscoring the diagnostic and therapeutic challenges associated with infections in immunocompromised individuals.
Distal Femoral Focal Deficiency.
J Am Acad Orthop Surg Glob Res Rev
September 2022
From the Department of Paediatric Surgery and Paediatric Orthopaedic Surgery, University of Turku and Turku University Hospital, Turku, Finland (Dr. Soini, Dr. Raitio, Dr. Syvänen), and the Department of Paediatric Orthopaedic Surgery, Helsinki University Hospital, Helsinki, Finland (Dr. Haara).
Distal femoral focal deficiency is an extremely rare type of congenital femoral deficiency that comprises hypoplasia of the distal femur, with a normally developed hip. We represent a unique case of distal femoral hypoplasia and deficiency of knee extensors, childhood follow-up and final treatment with exarticulation, and a comparison with previous literature.
View Article and Find Full Text PDFPathologic femur fractures following surgery and radiotherapy for soft tissue sarcomas: A case series.
Int J Surg Case Rep
July 2021
Department of Surgery, Cantonal Hospital Graubünden, Loestrasse 170, 7000 Chur, Switzerland.
Introduction: Combined limb-sparing surgery and radiation therapy are considered the standard of care for higher grade soft tissue sarcomas (STS) of the extremities. The risk of post-radiation fracture after this treatment modality is well known, but still underestimated, and can end in serious long-term secondary problems years later.
Presentation Of Case: We reviewed the records of three patients with pathological femur fractures years after wide local excision of an STS of the proximal lower extremity.
Influence of end-stage renal disease on long-term survival after major amputation.
Vasa
June 2020
Department of Vascular Surgery, University Hospital Erlangen, Erlangen, Germany.
: To analyze long-term outcomes and possible influencing factors in patients with endstage renal disease (ESRD) and critical limb ischemia (CLI) after major amputation compared to patients with normal renal function and non-dialysis-dependent chronic kidney disease. : Abstraction of single-center medical records of patients undergoing above knee (AKA) and below knee (BKA) amputation over a 10 years period (n = 436; 2009-2018). Excluded were amputations due to trauma or tumor.
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